Fillable Application for Employment (SOWELA Technical Community College)

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Application for Employment (SOWELA Technical Community College)

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The Application for Employment (SOWELA Technical Community College) form is 8 pages long and contains:

  • 4 signatures
  • 29 check-boxes
  • 258 other fields

Country of origin: US
File type: PDF

U.S.A. forms for SOWELA Technical Community College

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Employer Name Position Title
City, State Dat
es of Employment (Mo./Yr – Mo./Yr.)
Supervisor Supervisor’s Telephone Salary or Wage Rate Hours worked per week?
Duties:
Reason for leaving:
Application for Employment
An Equal Opportunity Employer and Educator
E-mail: resumes@sowela.edu Web: www.sowela.edu
http://www.sowela.edu
Instructions: This application must be filled out completely, typed or printed in ink, and signed to be considered. Corrected or
extended recruitment announcements will be posted in the HR department and listed on our job line. All documents submitted as a
part of your application package become the property of the college and will not be returned. Applicants with disabilities who
require assistance with the recruitment process will be accommodated to the extent reasonably possible.
Position Title Applied For
“SOWELA Technical Community College (SOWELA) is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to
award Associate Degrees, Diplomas, and Certificates. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, GA 30033-4097, or call (404) 679-
4500 for questions about the accreditation of SOWELA Technical Community College.”
Personal Data
Name (Last, First, Middle Initial)
Are you a U.S. Citizen.? Yes No
If not a U.S. citizen, are you eligible for lawful employment in the U.S?
Street Address
Yes No
City, State, Zip Code
(Note: Proof of identity, citizenship or legal right to work in the U.S. will be required
upon hiring.)
Home Phone Business Phone Cell or Message Phone Email
List other names under which you have attended school, been employed, or known by:
SOWELA Technical Community College does not discriminate on the basis of race, color, national origin, gender, disability, or age in its programs and activities.
The following person has been designed to handle inquiries regarding the non-discrimination policies:
Title: Compliance Officer
Address: 3820 Sen J Bennett Johnston Ave., Lake Charles, LA 70615
Telephone No.: (337) 421-6565 or (800) 256-0483
Email: complianceofficer@sowela.edu
SOWELA Technical Community College complies with all applicable federal and state laws designed to promote equal
employment opportunity. The college encourages all qualified applicants to apply.
Employment Record
List present or most recent experience first. Explain any breaks in your employment history in the appropriate order; use the “Duties”
space for your explanation. Make copies of page 2 as needed for listing additional experience.
You must complete the employment record section. Statements such as “See Resume or See VITA” do not substitute for
completing any portion of the application.
Revised 05/30/2017
Employment Record – Continue with next most recent experience. Make copies of this page as needed for listing additional experience.
Employer Name Position Title
City, State D
ates of Employment (Mo./Yr – Mo./Yr.)
Supervisor Supervisor’s Telephone Salary or Wage Rate Hours worked per week?
Duties:
Reason for leaving:
Employer Name Position Title
City, State Dates of Employment (Mo./Yr – Mo./Yr.)
Supervisor Supervisor’s Telephone Salary or Wage Rate Hours worked per week?
Duties:
Reason for leaving:
Employer Name Position Title
City, State Dates of Employment (Mo./Yr – Mo./Yr.)
Supervisor Supervisor’s Telephone Salary or Wage Rate Hours worked per week?
Duties:
Reason for leaving:
Employer Name Position Title
City, State Dates of Employment (Mo./Yr – Mo./Yr.)
Supervisor Supervisor’s Telephone Salary or Wage Rate Hours worked per week?
Duties:
Reason for leaving:
Employer Name Position Title
City, State Dates of Employment (Mo./Yr – Mo./Yr.)
Supervisor Supervisor’s Telephone Salary or Wage Rate Hours worked per week?
Duties:
Reason for leaving:
Revised 05/30/2017
Education
If hired, original transcripts with institution seal must be submitted directly to Sowela Technical Community College. Transcripts issued to
“Student” or applicant will not be accepted.
Have you graduated high school or received a GED or equivalency certificate? Yes No
Name of School:
City:
State:
Type of
School
Name of School/Location
From:
Mo/Yr
To: Mo/Yr
Total Credits
Completed*
Degree or
Diploma
Major
Quarter
Semester
College or
University
(Under-
graduate)
College or
University
(Graduate)
Technical,
business or
other school
*Indicate whether semester (S) or quarter (Q) credits
Training – Seminars, workshops, etc. (Including dates and length of training. You may attach an additional sheet if necessary.)
Licenses and Certificates – List all of your professional licenses, permits, and certificates.
License:
Type:
State:
Effective
Date:
Expiration
Date:
License:
Type:
State:
Effective
Date:
Expiration
Date:
Skills – Indicate the type, system or software package appropriate to each section below and include your level of proficiency i.e.,
beginning, intermediate, or advanced level user.
Keyboarding/Typing Speed
Graphic Design Software & Proficiency Level
Word Processing Software & Proficiency Level
Web Design Software & Proficiency Level
Desktop Publishing Software & Proficiency Level
Database Software & Proficiency Level
Presentation Software & Proficiency Level
Spreadsheet Software & Proficiency Level
Revised 05/30/2017
Name:
Official Position & Employer:
Email Address:
Professional References – Include those work colleagues who have first hand knowledge of your skills and abilities.
(DO NOT INCLUDE PERSONAL FRIENDS OR RELATIVES.)
Name:
Telephone Number:
Telephone Number:
Email Address:
Official Position & Employer:
Name:
Telephone Number:
Email Address:
Official Position & Employer:
Name:
Telephone Number:
Email Address:
Official Position & Employer:
Applicant’s Certification and Agreement
Please read carefully before signing
All material received through the application process becomes the property of SOWELA Technical Community College
(herein listed as SOWELA) and will not be returned. I understand and agree that any relevant and material
misrepresentation made on this application (including resume) will justify immediate dismissal if hired. I understand
that this application is not a contract for employment. I agree that upon separation, I will return to SOWELA any
property issued and/or owned by the College, or will allow the value of same to be deducted from my wages.
I hereby consent to and authorize any of my current or former employers to furnish any and all information
concerning my employment record. In addition, I consent to and authorize the educational institutions that I
attended to furnish any and all information concerning my educational background. I release all parties connected
with any request for information from all claims, liability, and damages for whatever reason arising out of furnishing
this information. If employed, I release SOWELA from any liability for future references it may provide regarding my
work history at the College. I acknowledge that I have read, understand and consent to this authorization. A
photocopy of this release shall have the same effect as the original.
If I am employed, I understand that employment will be on a conditional basis pending completion of the background
check. I understand that should investigation disclose misrepresentation, falsification or omission, such
misrepresentation, falsification or omission would constitute grounds for rejection of my application or immediate
dismissal from employment.
Additionally, I understand that if my materials have been submitted via electronic format (email, fax, on-line, etc.), I
will be required to provide an original signature at the time of an offer of employment. I further understand that by
submission of any electronic materials I agree to the terms and conditions outlined in this document, and that the
electronic submission is as valid as providing an original signature, subject to all terms and conditions as set forth in
these documents.
In consideration of employment, I agree to abide by the rules and regulations of SOWELA and the State of Louisiana
and applicable federal law. I understand that no manager, supervisor, representative, or agent of SOWELA, other
than the president of the college or his/her designee, has the authority to enter into any agreement with me for
employment for any specified period of time, or to make any agreement contrary to the foregoing.
Signature
Date
Revised 05/30/2017
www.sowela.edu
Employment Verification Form
(Submit three former employers contact information)
The applicant listed below is being considered for employment with SOWELA Technical Community
College and has listed your organization as a former place of employment. In accordance with the release
signed by the applicant below, please provide the information requested and return this form to us via fax to
(337) 491-2135 or via mail to: SOWELA Technical Community College, Attn: Department of Human
Resources, P. O. Box 16950, Lake Charles, LA 70616-6950. Thank you for your cooperation.
Name of Applicant:
Name of Former Employer:
Supervisor: _________________________________________________ Telephone #: ______________________
Applicant’s Authorization
I hereby authorize the above named organization to furnish SOWELA Technical Community College with any
information it may have concerning me which is on record or otherwise, and do hereby release the above named
organization and all individuals connected therewith, from any and all liability whatsoever that might otherwise
be incurred in furnishing such information.
Signature of Applicant: _______________________________________________
For STCC HR staff use only if conducted via telephone:
Record of Employment
Date(s) of Employment: _______________________________________________
Position(s) Held: _____________________________________________________
Reason Employment Ended: ____________________________________________
Employee Eligible for Rehire: Yes No
Please rate the Applicant in each of the following:
Job Skill
Attendance
Initiative
Conduct
Excellent
Excellent
Excellent
Excellent
Good
Good
Good
Good
Average
Average
Average
Average
Below Average
Below Average
Below Average
Below Average
Poor
Poor
Poor
Poor
Disciplinary Record None Few Excessive Write-ups
Additional Comments: ________________________________________________________________
___________________________________________________________________________________
Person completing check: _______________________________________________
Signature Date
Revised 05/30/2017
click to sign
signature
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www.sowela.edu
Employment Verification Form
(Submit three former employers contact information)
The applicant listed below is being considered for employment with SOWELA Technical Community
College and has listed your organization as a former place of employment. In accordance with the release
signed by the applicant below, please provide the information requested and return this form to us via fax to
(337) 491-2135 or via mail to: SOWELA Technical Community College, Attn: Department of Human
Resources, P. O. Box 16950, Lake Charles, LA 70616-6950. Thank you for your cooperation.
Name of Applicant:
Name of Former Employer:
Supervisor: _________________________________________________ Telephone #: ______________________
Applicant’s Authorization
I hereby authorize the above named organization to furnish SOWELA Technical Community College with any
information it may have concerning me which is on record or otherwise, and do hereby release the above named
organization and all individuals connected therewith, from any and all liability whatsoever that might otherwise
be incurred in furnishing such information.
Signature of Applicant: _______________________________________________
For STCC HR staff use only if conducted via telephone:
Record of Employment
Date(s) of Employment: _______________________________________________
Position(s) Held: _____________________________________________________
Reason Employment Ended: ____________________________________________
Employee Eligible for Rehire: Yes No
Please rate the Applicant in each of the following:
Job Skill
Attendance
Initiative
Conduct
Excellent
Excellent
Excellent
Excellent
Good
Good
Good
Good
Average
Average
Average
Average
Below Average
Below Average
Below Average
Below Average
Poor
Poor
Poor
Poor
Disciplinary Record None Few Excessive Write-ups
Additional Comments: ________________________________________________________________
___________________________________________________________________________________
Person completing check: _______________________________________________
Signature Date
Revised 05/30/2017
click to sign
signature
click to edit
www.sowela.edu
Employment Verification Form
(Submit three former employers contact information)
The applicant listed below is being considered for employment with SOWELA Technical Community
College and has listed your organization as a former place of employment. In accordance with the release
signed by the applicant below, please provide the information requested and return this form to us via fax to
(337) 491-2135 or via mail to: SOWELA Technical Community College, Attn: Department of Human
Resources, P. O. Box 16950, Lake Charles, LA 70616-6950. Thank you for your cooperation.
Name of Applicant:
Name of Former Employer:
Supervisor: _________________________________________________ Telephone #: ______________________
Applicant’s Authorization
I hereby authorize the above named organization to furnish SOWELA Technical Community College with any
information it may have concerning me which is on record or otherwise, and do hereby release the above named
organization and all individuals connected therewith, from any and all liability whatsoever that might otherwise
be incurred in furnishing such information.
Signature of Applicant: _______________________________________________
For STCC HR staff use only if conducted via telephone:
Record of Employment
Date(s) of Employment: _______________________________________________
Position(s) Held: _____________________________________________________
Reason Employment Ended: ____________________________________________
Employee Eligible for Rehire: Yes No
Please rate the Applicant in each of the following:
Job Skill
Attendance
Initiative
Conduct
Excellent
Excellent
Excellent
Excellent
Good
Good
Good
Good
Average
Average
Average
Average
Below Average
Below Average
Below Average
Below Average
Poor
Poor
Poor
Poor
Disciplinary Record None Few Excessive Write-ups
Additional Comments: ________________________________________________________________
___________________________________________________________________________________
Person completing check: _______________________________________________
Signature Date
Revised 05/30/2017
click to sign
signature
click to edit
_________________________________________________
APPLICANT EEO DATA FORM
The information requested is being collected for the purpose of reporting to Federal and Equal
Employment Opportunity Agencies and will not be considered as part of the application for
employment. It will be separated from the application.
1. Job Posting Number
2. Social Security Number
3. Last Name First Name Middle Name
4. Address
City
State
Zip Code
5. Phone Number
( )
6. Sex
M – Male
F – Female
7. Birth Date
8. Ethnic Origin (Check mark preferred)
W White B – Black H – Hispanic
P –Asian/Pac Islander I – Alaskan O - Other
9. How did you find out about this job?
01 – Other State Employee 06 – Newspaper ___________________________________ (name of newspaper)
02 – Job Fair 07 – College/University Career Day
03 – Professional Publication 08 – Governor’s Job Bank
04 – Recruitment Poster 09 – Human Resource Services/Personnel Office
05 – LA Workforce 10 – Other – please specify ___________________________
Applicant’s Signature Date
SOWELA Technical Community College is an Equal Opportunity Employer
Revised 05/30/2017
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Completed 17 September 2020

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